Edward Samourjian Medical Corporation, Inc.
NPI 1508593617ActiveOrganization· Surgery, Vascular Surgery· Glendale, CA
Surgery, Vascular Surgery in Glendale, California, registered in NPPES in August 2022. The authorized official on file is Edward Samourjian, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1508593617 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 8, 2022 |
| Last updated in NPPES | Feb 20, 2025 |
| Certified by provider | Feb 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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